元认知策略对乳腺癌患者非理性信念的干预

The Effect of Metacognitive Strategy on Irrational Beliefs in Patients with Breast Cancer

目的探讨元认知策略对乳腺癌患者非理性信念的疗效。方法采用非理性信念量表分别于患者入院当天和出院后10个月应用非理性信念量表和元认知问卷(MCQ)对70例乳腺癌患者进行评定。结果元认知干预后患者的非理性信念水平(非理性信念总分;概括化评论分;低挫折忍耐;绝对化要求;糟糕至极)较干预前有显著性差异(t=6.52,2.94,13.902,20.284,5.311;P<0.01)。乳腺癌患者的元认识干预前后在认知自信、积极信念、思维和控制需要及元认识总分比较有统计学意义(t=4.34,5.04,2.30,5.76;P<0.05)。结论乳腺癌患者存在非理性信念,元认知对乳腺癌患者的非理性信念有一定的干预效果。

Objective To study the efficacy of metacognitive strategy on irrational beliefs in patients with breast cancer .Methods 70 breast cancer patients completed irrational beliefs scale （ MCQ） and metacognition questionnaire at the day of admission and 10 month later Results There were significant differences before and after the metacognition intervention in the total irrational beliefs scores ,gen-eralization comment points,low frustration endurance,absolute requirements,and horrible（t=6.52,2.94,13.902,20.284,5.311;P〈0.01）;There were also significant differences before and after the metacognition intervention in cognitive confidence ,positive belief,the need of thinking and control,and the total metacongnition（t=4.34,5.04,2.30,5.76;P〈0.05）.Conclusion There is irrational be-liefs in patients with breast cancer ,metacogniticn hase a certain effect on irrational beliefs in patients with breast cancer .